CAJ | 학술논문

目的：探讨妊娠高血压（GH）与阻塞性睡眠呼吸暂停低通气综合征（OSAHS）的关系。方法选择55例轻度 GH 孕妇为 A 组，23例中、重度孕妇为 B 组，24例正常孕妇为 C 组（对照组），分析3组睡眠相关呼吸参数及血压资料。结果B 组平均 SaO2、通气指数、体重指数分别为（72．26±5．08）％、（37．21±2．56）次/h、（29．14±2．62）kg/m 2，明显高于 A 组、C 组（P ＜0．05）；B 组睡眠延迟、稳定的睡眠比、清醒/梦睡眠比分别为（33．2±34．5）min、（36．3±19．1）％、（34．7±8．3）％，睡眠延迟显著高于 A、C 组，稳定的睡眠比、清醒/梦睡眠比显著低于 A、C 组（P ＜0．05）；B 组24 h 收缩压、舒张压，白天收缩压、舒张压，夜间收缩压、舒张压，睡醒后收缩压、舒张压均高于 A 组、C 组（P ＜0．05）；B 组杓型比例明显低于 A 组、C 组（P ＜0．05）；B 组异常新生儿发生率显著高于 A 组、C 组（P ＜0．05）。结论GH 与 OSAHS 关系密切，孕妇血压和供氧等可影响胎儿发育。
목적：탐토임신고혈압（GH）여조새성수면호흡잠정저통기종합정（OSAHS）적관계。방법선택55례경도 GH 잉부위 A 조，23례중、중도잉부위 B 조，24례정상잉부위 C 조（대조조），분석3조수면상관호흡삼수급혈압자료。결과B 조평균 SaO2、통기지수、체중지수분별위（72．26±5．08）％、（37．21±2．56）차/h、（29．14±2．62）kg/m 2，명현고우 A 조、C 조（P ＜0．05）；B 조수면연지、은정적수면비、청성/몽수면비분별위（33．2±34．5）min、（36．3±19．1）％、（34．7±8．3）％，수면연지현저고우 A、C 조，은정적수면비、청성/몽수면비현저저우 A、C 조（P ＜0．05）；B 조24 h 수축압、서장압，백천수축압、서장압，야간수축압、서장압，수성후수축압、서장압균고우 A 조、C 조（P ＜0．05）；B 조표형비례명현저우 A 조、C 조（P ＜0．05）；B 조이상신생인발생솔현저고우 A 조、C 조（P ＜0．05）。결론GH 여 OSAHS 관계밀절，잉부혈압화공양등가영향태인발육。
Objective To explore the relationship between gestational hypertension (GH) and obstructive sleep apneahypopnea syndrome(OSAHS).Methods Fifty-five pregnant women with mild GH were selected as group A ,23 pregnant women with moderate to severe GH as group B ,and 24 normal pregnant women as group C (control group).The sleep apnea parameters and blood pressure data of three groups were analyzed .Results The average SaO 2 ,ventilation index,body mass index of group B were (72.26 ±5.08)%,(37.21 ±2.56) /h,(29.14 ±2.62)kg/m 2 ,respectively,which were higher than those of group A,group C(P <0.05).The sleep delay,stable sleep ratio,wake/sleep ratio of group B were (33.2 ±34.5)minutes,(36.3 ±19.1)%,(34.7 ±8.3)%,respectively.The sleep delay of group B was higher than that of group A,group C(P <0.05).The stable sleep and wake /sleep ratios of group B were significantly lower than those of group A and group C(P <0.05).The 24-hour systolic blood pressure,24-hour diastolic blood pressure,daytime systolic blood pressure,daytime diastolic blood pressure,systolic blood pressure at night,diastolic blood pressure at night as well as systolic blood pressure and diastolic blood pressure after waking up of group B were higher than those of group A and group C (P <0.05).The proportion of dipper type of blood pressure in group B was significantly lower than that in group A or group C(P <0.05).The incidence of abnormal neonates of group B was significantly higher than that of group A or group C (P <0.05).Conclusion GH closely correlates with OSAHS,the blood pressure and arterial oxygen pressure of the pregnant woman might affect the newborn health.